For Physician and Ancillary Services, your Plan utilizes a Physician and Ancillary Only network.

However, your Plan is Open Access for facilities, physicians and ancillary providers which allows you to choose any service provider and facility. Your cost-share (applicable deductible, out-of-pocket, and copays amounts) will not be affected by the provider’s lack of participation in the network. Further, you can choose to receive services at any hospital, skilled nursing facility, ambulatory surgery center, or behavioral health facility, where inpatient or outpatient services are provided.